一名免疫功能低下患者中表现为急性侵袭性真菌性鼻窦炎的坏疽性脓皮病。

Ecthyma gangrenosum mimicking acute invasive fungal sinusitis in an immunocompromised patient.

作者信息

Hekiert Adrianna M, Cohen Michael B, Montone Kathleen T, Palmer James N, Govindaraj Satish

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.

出版信息

Ear Nose Throat J. 2010 Jun;89(6):262-7.

PMID:20556737

Abstract

Ecthyma gangrenosum is a rare necrotizing cutaneous infection usually caused by Pseudomonas aeruginosa. We report a case of ecthyma gangrenosum presenting as a sinonasal eschar and mimicking acute invasive fungal sinusitis in an immunocompromised 39-year-old man with a hematologic malignancy. To the best of our knowledge, this represents the first case of ecthyma gangrenosum affecting the sinonasal mucosa to be reported in the literature.

摘要

坏疽性脓皮病是一种罕见的坏死性皮肤感染，通常由铜绿假单胞菌引起。我们报告一例坏疽性脓皮病，表现为鼻窦焦痂，在一名患有血液系统恶性肿瘤的39岁免疫功能低下男性中酷似急性侵袭性真菌性鼻窦炎。据我们所知，这是文献中报道的首例累及鼻窦黏膜的坏疽性脓皮病病例。